69 results match your criteria barium enterography


Multimodality imaging of the gastrointestinal manifestations of scleroderma.

Clin Radiol 2021 Jun 6. Epub 2021 Jun 6.

Radiology Department, Mater Misericordiae University Hospital, Dublin, Ireland.

Scleroderma is a complex multisystem connective tissue disorder. Early visceral disease, such as gastrointestinal (GI) involvement, is associated with significant morbidity and a poorer prognosis. Prompt diagnosis is crucial to allow disease modifying therapies be initiated early in the course of the disease. Read More

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[New approaches in conservative treatment of acute adhesive small bowel obstruction].

Khirurgiia (Mosk) 2021 (6):45-53

City Clinical Hospital No. 17, Moscow, Russia.

Objective: To improve the outcomes of therapy of acute adhesive small bowel obstruction via development of a comprehensive management including CT, deep endoscopy-assisted nasointestinal drainage of small bowel with injection of a water-soluble contrast.

Material And Methods: There were 128 patients with acute adhesive small bowel obstruction for the period from 2015 to 2018. The study included 2 groups of patients depending on therapeutic approach and duration of treatment. Read More

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Evaluating inflammatory activity in Crohn's disease by cross-sectional imaging techniques.

Radiol Bras 2020 Jan-Feb;53(1):38-46

Escola Paulista de Medicina da Universidade Federal de São Paulo (EPM-Unifesp), São Paulo, SP, Brazil.

The evaluation of inflammatory bowel activity in patients with Crohn's disease has traditionally been a challenge, mainly because of the difficulty in gaining endoscopic access to the small bowel. Historically, barium-based contrast studies were the only option for the evaluation of inflammatory activity in Crohn's disease. They were gradually replaced by cross-sectional imaging techniques, computed tomography enterography (CTE) and magnetic resonance enterography (MRE) now being the modalities of choice for such evaluations. Read More

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Early onset Peutz-Jeghers syndrome, the importance of appropriate diagnosis and follow-up: A case report.

Medicine (Baltimore) 2019 Jul;98(27):e16381

Department of Pediatrics III, University of Medicine, Pharmacy, Sciences and Technology, Târgu Mureş, Romania.

Rationale: Peutz-Jeghers syndrome (PJS) is currently defined as an inherited condition, also called a familial hamartomatous polyposis syndrome, characterized by the association between pigmented mucocutaneous lesions and hamartomatous polyps in the gastrointestinal tract, especially in the small bowel.

Patient Concerns: We present the case of a 7-year-old male patients, diagnosed at the age of 3 years with PJS due to a surgical intervention for acute abdominal pain that revealed a rectal polyp associated with hyperpigmented maculae on the lips and oral mucosa. His family history revealed the same condition in his mother, who was diagnosed much later, at the age of 25 years. Read More

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Comparison of two small bowel distending agents for enterography in pediatric small bowel imaging.

Abdom Radiol (NY) 2019 10;44(10):3252-3262

Department of Radiology, Mayo Clinic, 200 1st St SW, Rochester, MN, 55905, USA.

Objective: To evaluate the ability of pediatric patients with known or suspected inflammatory bowel disease to ingest a new oral distending agent at CT or MR enterography (CTE/MRE), and to determine the impact on small bowel (SB) distension and diagnostic confidence.

Materials And Methods: The study design is that of retrospective review of pediatric patients who underwent CTE or MRE from January 2014 to June 2016. Patients ingested low-concentration barium suspension or flavored beverage containing sorbitol and mannitol. Read More

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October 2019

Up-to-date overview of imaging techniques in the diagnosis and management of inflammatory bowel diseases.

Prz Gastroenterol 2019 12;14(1):19-25. Epub 2019 Mar 12.

Department of Gastroenterology, Allergology and Paediatrics, Polish Mother's Memorial Hospital - Research Institute, Lodz, Poland.

Radiological examination occupies a significant role, complementary to endoscopic studies, in the diagnostic process of inflammatory bowel disease (IBD). Both ulcerative colitis and Crohn's disease, due to multiple remissions and relapses, require repetitive examinations to evaluate the disease extent, severity, and response to pharmacological treatment. Whereas the use of barium contrast studies is progressively reduced, plain radiography confirms its utility as a first-line imaging tool for acute abdomen. Read More

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Comparison of three oral contrast preparations for magnetic resonance enterography in pediatric patients with known or suspected Crohn disease: a prospective randomized trial.

Pediatr Radiol 2019 06 9;49(7):889-896. Epub 2019 Mar 9.

Department of Radiology, Massachusetts General Hospital, 55 Fruit St., Boston, MA, 02114, USA.

Background: Oral contrast preparation is fundamental to ensuring diagnostic examination quality for magnetic resonance enterography (MRE), yet little is known about the relative palatability and tolerability of various oral contrast agents in pediatric patients with known or suspected inflammatory bowel disease.

Objective: We prospectively compared three MRE oral preparations in pediatric patients with known or suspected Crohn disease with respect to patient-reported tolerability and radiologist-determined small-bowel distension and opacification.

Materials And Methods: Seventy-five pediatric patients (mean age 14. Read More

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Backwash ileitis in ulcerative colitis: Are there MR enterographic features that distinguish it from Crohn disease?

Eur J Radiol 2019 Jan 1;110:212-218. Epub 2018 Dec 1.

Department of Internal Medicine, School of Medicine, Ankara University, Talatpaşa Bulvarı, Sıhhiye, 06100 Ankara, Turkey. Electronic address:

Objective: To reveal the MR enterography (MRE) findings that distinguish backwash ileitis (BWI) from terminal ileitis due to Crohn's disease (CD) and to determine the usability of barium studies manifestations (ileocecal valve (ICV) gaping, terminal ileum dilatation) in MRE for the diagnosis of BWI in ulcerative colitis (UC) patients by pointing at the diagnostic performance of these imaging findings.

Subjects-methods: The study population consisted of patients who were diagnosed as ulcerative colitis (UC), and underwent 1.5 T MRI between August 2011 and November 2017 to rule out small bowel involvement. Read More

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January 2019

Comparison of Two Neutral Oral Contrast Agents in Pediatric Patients: A Prospective Randomized Study.

Radiology 2018 Jul 8;288(1):245-251. Epub 2018 May 8.

From the Department of Radiology, Cincinnati Children's Hospital Medical Center, 3333 Burnet Ave, ML 5031, Cincinnati, OH 45229.

Purpose To prospectively compare small bowel distention provided by, as well as patient acceptance of, two different neutral (negative) oral contrast materials used for cross-sectional enterography in a pediatric population. Materials and Methods In this noninferiority study, 66 pediatric patients undergoing clinical computed tomographic (CT) or magnetic resonance (MR) enterography were randomized to receive either a flavored beverage for neutral abdominal and pelvic imaging (Breeza; Beekley Medical, Bristol, Conn) or a low-density barium sulfate suspension. Patients were blinded to the oral contrast material administered and were asked to rate taste, texture, and their perceived health state (where 0 was very bad and 10 was very good). Read More

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Three-dimensional CT enterography versus barium follow-through examination in measurement of remnant small intestinal length in short bowel syndrome patients.

Abdom Radiol (NY) 2018 11;43(11):2955-2962

Intestinal Rehabilitation and Transplant Center, Jinling Hospital, Medicine School of Nanjing University, Nanjing, 210002, China.

Purpose: To evaluate the feasibility and accuracy of remnant small intestinal length measured by barium follow-through (BaFT) examination and three-dimensional CT enterography (CTe).

Materials And Methods: Twenty-nine consecutive short bowel syndrome patients (SBS) who underwent BaFT, CTe, and prior surgical measurements of small intestine were included. Measurements of total remnant small intestinal length on BaFT and CTe were compared to surgical measurements using Spearman's rank correlation coefficients, Bland-Altman plots, and paired t test. Read More

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November 2018

Kaleidoscopic View of Bowel Tuberculosis on Multi- Detector Computed Tomography (CT) Enterography - A Novel Technique Unfolding an Archaic Disease.

Pol J Radiol 2017 15;82:783-791. Epub 2017 Dec 15.

Department of Radio-diagnosis, University College of Medical Sciences (University of Delhi) and Guru Teg Bahadur (GTB) Hospital, Delhi, India.

Gastrointestinal tuberculosis (GI TB) is an important manifestation of abdominal tuberculosis (TB), an extra-pulmonary form of the disease. GI TB commonly affects the small bowel but is difficult to diagnose due to the challenge of evaluating the entire length of overlapping small bowel loops with traditional diagnostic methods like Barium meal follow through, abdominal computed tomography (CT), and endoscopy. New techniques of CT/MR enteroclysis/enterography are now available which specifically image the small bowel. Read More

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December 2017

Evaluation of bowel distension and bowel wall visualization according to patient positions during administration of oral contrast media for CT enterography.

Br J Radiol 2017 Dec 27;90(1080):20170352. Epub 2017 Oct 27.

1 Department of Radiology, Inje University College of Medicine, Haeundae Paik Hospital, Busan, South Korea, 612-030, Korea.

Objective: To compare small bowel distension and bowel wall visualization among three different patients' positions (supine, sitting and right decubitus) during administration of oral contrast media in preparation for CT enterography (CTE).

Methods: A total of 150 consecutive patients (104 males and 46 females; mean age 34.6 years, range 15-78 years) who were scheduled to undergo CTE were recruited. Read More

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December 2017

Capsule endoscopy in small bowel Crohn's disease and Tuberculosis.

Trop Doct 2017 Apr 6;47(2):113-118. Epub 2017 Jan 6.

1 Department of Gastroenterology, Post Graduate Institute of Medical Education and Research (PGIMER), Chandigarh, India.

Differentiation of small bowel tuberculosis (SBTB) from Crohn's disease (CD) is a diagnostic challenge. We studied 52 patients with suspected SBTB or CD with terminal ileal involvement, who were prospectively enrolled. After confirming patency of the gastrointestinal tract, 26 patients underwent capsule endoscopy (CE). Read More

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Intestinal tuberculosis versus crohn's disease: Clinical and radiological recommendations.

Indian J Radiol Imaging 2016 Apr-Jun;26(2):161-72

Department of Gastroenterology, All India Institute of Medical Sciences, New Delhi, India.

Intestinal tuberculosis is a common clinical problem in India. The clinical features of this disease are nonspecific and can be very similar to Crohn's disease. Radiological evaluation of the small bowel has undergone a paradigm shift in the last decade. Read More

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MR enterography with oral contrast agent composed of methylcellulose, low-dose barium sulfate, sorbitol, and lactulose: assessment of diagnostic performance, reliability, image quality, and patient tolerance.

Clin Imaging 2016 May-Jun;40(3):523-30. Epub 2016 Jan 11.

Department of Radiology, Ataturk Training and Research Hospital, Ankara, Turkey. Electronic address:

Objective: The objective was to show efficiency of magnetic resonance enterography (MRE) with our previously assessed new oral contrast agent.

Materials And Methods: Each bowel segments was evaluated for luminal distension, wall conspicuity, wall thickening, and hyperintensity on fat-saturated (FS) T2-weighted and contrast enhancement on postcontrast FS T1-weighted images. Also, consensus scoring results of MRE exams were compared with the gold standard tests in terms of active inflammatory bowel disease detection. Read More

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December 2016

Evaluation of Patient Tolerance and Small-Bowel Distention With a New Small-Bowel Distending Agent for Enterography.

AJR Am J Roentgenol 2016 May 21;206(5):994-1002. Epub 2016 Mar 21.

1 Division of Radiology, Mayo Clinic, 200 1st St SW, Rochester, MN 55905.

Objective: The objective of our study was to compare a flavored beverage containing a thickening agent for enterography with a low-Hounsfield-value barium suspension for side effects, taste, subjects' willingness to repeat the drinking protocol, and small-bowel distention.

Subjects And Methods: The following five drinking protocols were administered to 10 volunteers: 1000 mL of flavored beverage followed by 350 mL of water, 1500 mL of flavored beverage, 900 mL of low-Hounsfield-value barium suspension followed by 450 mL of water, 1350 mL of low-Hounsfield-value barium suspension followed by 150 mL of water, and 1500 mL of water. MR images were obtained 50 and 60 minutes after initiation of drinking. Read More

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Capsule Endoscopy for Crohn's Disease: Current Status of Diagnosis and Management.

Gastroenterol Res Pract 2016 27;2016:8236367. Epub 2015 Dec 27.

Department of Internal Medicine, Korea University Anam Hospital, Korea University College of Medicine, Seoul, Republic of Korea.

Crohn's disease (CD) is an idiopathic inflammatory bowel disease involving the small and/or large intestine. More than 50% of Western CD patients and up to 88% of Asian CD patients may have small intestinal involvement. Video capsule endoscopy (VCE) has a higher diagnostic yield than small bowel barium radiography and computed tomography enterography for the detection of small intestinal involvement of CD. Read More

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January 2016

[Imaging in the diagnosis of small bowel diseases].

Authors:
Fuhua Yan

Zhonghua Wei Chang Wai Ke Za Zhi 2015 Mar;18(3):213-5

Department of Radiology, Ruijin Hospital, Shanghai Jiaotong University of Medical College, Shanghai 200025, China.

There are still many difficulties in the diagnosis of small bowel diseases. Until recently, diagnosis of small bowel diseases relies primarily on imaging techniques. The traditional gastrointestinal barium meal examination and endoscopy can observe the changing of mucous membrane, but can not demonstrate the intestinal wall and the extraluminal structure. Read More

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CT enterography for Crohn's disease: optimal technique and imaging issues.

Abdom Imaging 2015 Jun;40(5):938-52

Imaging Institute/L10, Cleveland Clinic Lerner College of Medicine of Case Western Reserve University, Cleveland Clinic, 9500 Euclid Ave, Cleveland, OH, 44195, USA,

CT enterography (CTE) is a common examination for patients with Crohn's disease. In order to achieve high quality, diagnostic images, proper technique is required. The purpose of this treatise is to review the processes and techniques that can optimize CTE for patients with suspected or known Crohn's disease. Read More

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Segmental sigmoid polyposis as a colonoscopic indicator of an ileosigmoid fistula in Crohn's ileitis.

J Crohns Colitis 2015 Apr 29;9(4):339-41. Epub 2015 Jan 29.

Division of Gastroenterology, Department of Medicine, Lenox Hill Hospital, New York, NY, USA.

Background And Aims: Ileosigmoid fistulas (ISFs) are frequently undiagnosed prior to surgery. This study was designed to describe a polyp or cluster of polyps limited to the sigmoid colon as a marker of ISF in patients with ileitis. This novel finding will increase a gastroenterologist's opportunity to detect them preoperatively and their prognostic implication of worsening ileitis. Read More

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Detection of Crohn disease lesions of the small and large bowel in pediatric patients: diagnostic value of MR enterography versus reference examinations.

AJR Am J Roentgenol 2014 Nov;203(5):W533-42

1 Department of Radiological Sciences, Oncology, and Pathology, Sapienza University of Rome, Policlinico Umberto I Hospital, Viale Regina Elena 324, Rome 00161, Italy.

Objective: The purpose of this article is to prospectively determine the accuracy of MR enterography in detecting Crohn disease lesions from the jejunum to the anorectal region in pediatric patients, in comparison with main reference investigations.

Subjects And Methods: Fifty consecutive children with known Crohn disease underwent MR enterography with oral contrast agent and gadolinium-chelate intravenous injection. Two radiologists detected and localized lesions by dividing the bowel into nine segments (450 analyzed segments in 50 patients). Read More

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November 2014

Magnetic resonance enterography in evaluation and management of children with Crohn's disease.

Semin Ultrasound CT MR 2014 Aug 2;35(4):331-48. Epub 2014 Jun 2.

Department of Radiology, Baystate Medical Center, Springfield, MA.

The role of radiologic evaluation in Crohn's disease (CD) has undergone a recent paradigm shift in which the radiologist adds value to the multidisciplinary team by longitudinally assessing therapeutic response and identifying treatment-modifying subtypes, such as fibrostenotic or fistulizing disease. Magnetic resonance enterography (MRE) has become the primary imaging modality used. The combination of multiplanar, multiparametric, and multiphasic contrast-enhanced imaging with the high spatial resolution and very high tissue contrast of MR imaging allows for detailed evaluation of intra-abdominal pathology, without the risk of cumulative radiation exposure. Read More

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Diagnostic imaging in Crohn's disease: what is the new gold standard?

Best Pract Res Clin Gastroenterol 2014 Jun 5;28(3):421-36. Epub 2014 May 5.

Department of Radiology, Addenbrooke's Hospital, Hills Road, Cambridge CB2 0QQ, UK. Electronic address:

Historically Barium and isotope studies been used for imaging of inflammatory bowel disease (IBD) but carry risk of radiation exposure. Use of Barium is declining resulting in fewer radiologists that have the necessary expertise. Isotopes studies lack anatomical definition but 18F - fludeoxyglucose (FDG) positron emission tomography (PET) shows promise in accurate assessment of disease compared to endoscopy. Read More

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Radiographical evaluation of ulcerative colitis.

Gastroenterol Rep (Oxf) 2014 Aug 19;2(3):169-77. Epub 2014 May 19.

Division of Gastroenterology and Hepatology, Mayo Clinic College of Medicine, Rochester MN, USA

Radiographical modalities have become important diagnostic tools in cases of ulcerative colitis (UC). Imaging can be used non-invasively to determine the extent of involvement, severity of disease and to detect disease-related complications and extra-intestinal inflammatory bowel disease (IBD) manifestations. While abdominal X-rays and barium enemas still retain their relevance in specific clinical settings, the use of computed tomography enterography (CTE) or magnetic resonance enterography (MRE) are now used as first-line investigations to exclude active small bowel disease in IBD patients and can be utilized to detect active colonic inflammation. Read More

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Imaging the small bowel.

Curr Opin Gastroenterol 2014 Mar;30(2):134-40

aDepartment of Radiology, Cork University Hospital bDepartment of Radiology, University College Cork, Wilton, Cork, Ireland.

Purpose Of Review: Radiologic investigations continue to play a pivotal role in the diagnosis of pathologic conditions of the small intestine despite enhancement of capsule endoscopy and double-balloon endoscopy. Imaging techniques continue to evolve and new techniques in MRI in particular, are being developed.

Recent Findings: Continued advances in computed tomography (CT) and MRI techniques have reinforced the importance of these imaging modalities in small bowel assessment. Read More

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Spectrum of imaging findings on MDCT enterography in patients with small bowel tuberculosis.

Clin Radiol 2014 Mar 26;69(3):315-22. Epub 2013 Nov 26.

Department of Radiodiagnosis and Imaging, Post Graduate Institute of Medical Education and Research, Chandigarh, India.

Abdominal tuberculosis (TB) is the sixth most common extrapulmonary site of involvement. The sites of involvement in abdominal tuberculosis, in descending order of frequency, are lymph nodes, genitourinary tract, peritoneal cavity, and gastrointestinal tract. The radiological armamentarium for evaluating tuberculosis of the small bowel (SBTB) includes barium studies (small bowel follow-through, SBFT), CT (multidetector CT, CT enterography, and CT enteroclysis), ultrasound (sonoenteroclysis), and magnetic resonance imaging (MRI; enterography and enteroclysis). Read More

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Diagnostic and therapeutic utility of double-balloon enteroscopy in children.

J Pediatr Gastroenterol Nutr 2014 Feb;58(2):204-12

*Centre for Paediatric Gastroenterology and International Academy of Pediatric Endoscopy Training, Sheffield Children's NHS Foundation Trust, Sheffield, UK †Department of Paediatrics, University of Naples "Federico II," Naples, Italy.

Objectives: Diagnostic and therapeutic benefits of double-balloon enteroscopy (DBE) have been documented in adults, with few data available on pediatric patients. We evaluated the diagnostic and therapeutic utility of DBE in children.

Methods: A prospective assessment of 113 DBE procedures in 58 consecutive children younger than 18 years (36 boys, 22 girls; median age 12. Read More

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February 2014

MR enterography in children: Principles, technique, and clinical applications.

Indian J Radiol Imaging 2013 Apr;23(2):173-8

Department of Diagnostic Imaging, The Hospital For Sick Children and University of Toronto, Toronto, Ontario, Canada.

MR enterography is a constantly advancing technique for assessment of bowel with newer technology and sequences. It is being increasingly used for the assessment of inflammatory bowel disease and has almost replaced barium follow through examinations in many institutions. Its lack of radiation makes it an attractive alternative for bowel evaluation in children. Read More

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Inflammatory bowel disease and novel endoscopic technologies.

Dig Endosc 2014 Jan 28;26 Suppl 1:20-8. Epub 2013 Aug 28.

Center for Diagnostic and Therapeutic Endoscopy, School of Medicine, Keio University, Tokyo, Japan.

Conventional ileocolonoscopy and barium small bowel follow-through are useful techniques for assessing the extension and severity of disease in patients with inflammatory bowel disease (IBD). More recently, novel techniques to enable IBD diagnosis have been developed, such as capsule endoscopy (CE), balloon enteroscopy (BE), computed tomography enterography (CTE) and magnetic resonance enterography (MRE). The advantages of CE and BE are that they enable mucosal assessment directly whereas the usefulness of CTE/MRE is in its ability to enable detection of transmural inflammation, stenosis, and extraintestinal lesions including abscesses and fistulas. Read More

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January 2014

Comparison of magnetic resonance enterography, capsule endoscopy and gastrointestinal radiography of children with small bowel Crohn's disease.

Exp Ther Med 2013 Jul 14;6(1):115-120. Epub 2013 May 14.

Departments of Radiology, Zhejiang University School of Medicine, Hangzhou, Zhejiang 310000, P.R. China.

The aim of this study was to compare magnetic resonance enterography (MRE) findings with those of video capsule endoscopy (VCE) or conventional gastrointestinal radiography (CGR) in pediatric patients with small bowel Crohn's disease. A total of 55 cases of small bowel Crohn's disease that were diagnosed through clinical, laboratory, surgical and histopathological findings were reviewed. Prior to the examination, children suspected of having other types of diseases of the small intestinal were identified. Read More

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